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Now more than ever before, men suffering from erectile dysfunction havea high likelihood that their condition will be successfully managed. Withtwo efficacious, safe, and easily administered oral medications on the marketand a third coming soon, men with ED are far better off than they were just6 years ago.

Chicago-Treating localized prostate cancer with high-intensityfocused ultrasound (HIFU) appears to be safe, efficacious, and well tolerated,according to data presented by several European research groups at the AUAannual meeting in Chicago.

The NIDDK-funded 'Urologic Diseases in America' is a broad-based, $6.9million project that will quantify the economic and human burden of urologicdiseases on the American population. In this exclusive Urology Times interview,Mark S. Litwin, MD, MPH, the study's principal investigator, outlines thescope of the project, its goals and objectives, and its relevance to practicingurologists. Dr. Litwin is professor of urology and public health at theDavid Geffen School of Medicine at UCLA and the UCLA School of Public Health.He is also a researcher at UCLA's Jonsson Comprehensive Cancer Center. Theinterview was conducted by UT Editorial Consultant Richard D. Williams,MD, professor and chairman of the department of urology at the Universityof Iowa, Iowa City.

Employee theft is more common than most of us want to admit. Many ofus are trusting and assume that our employees are honest and caring andwould not ever consider taking something from the practice that doesn'tbelong to them. I think, for the most part, health care does attract honest,caring, and compassionate employees, but that doesn't relieve us from practicingpreventive financial controls and creating an environment that avoids theftand embezzlement.

Washington-Congress has been told by its chief investigative agency thatincreasing medical liability awards, indeed, are contributing to skyrocketingpremium costs for many physicians, but that fact is not having a widespreadimpact on patients' access to health care.

New Products & Services

Needle guide designed for transvaginal procedures: Kalona, IA-CIVCO Medical Instruments introduces a reusable endocavity needle guide for the EV9-4 transducer available on Siemens' new ultrasound systems, the G60 S and G50.

The paradigm for the medical management of benign prostatic hyperplasia has undergone a significant change during the past decade. Guided by new research, the approval of novel pharmaceutical and minimally invasive therapies, and the economics of health care financing, physicians have altered their approach to patient care in distinct ways.

Chicago-Resistance to drugs commonly used against uncomplicated urinary tract infections continues to grow, according to the results of a large North American study presented at the 43rd Interscience Conference on Antimicrobials and Chemotherapy.

Winston-Salem, NC--Some men may be more prone to prostate cancer because a variation in a specific gene makes them more susceptible to the harmful effects of cancer-causing agents, a new study shows.

Salt Lake City--Prostate cancer researchers say they have developed methods to predict treatment failure in men undergoing radiation therapy that is more precise and specific than current American Society for Therapeutic Radiology and Oncology guidelines.

Large-scale telephone-based management of eligible women with presumedcystitis is associated with low clinical recurrence rates and a very lowincidence of other gynecourologic diagnoses, according to a study by a largeHMO in California.

Scientists at Northwestern University have developed an ultra-sensitivetechnology based on gold nanoparticles and DNA that can detect PSA whenpresent at extremely low levels in the blood sample. The new protein-detectionmethod could be used to monitor prostate cancer patients following surgery,according to the researchers, whose findings are published in the Sept.26 issue of the journal Science (2003; 301:1884-6).

A 4-year screening interval was found adequate for detecting most cancersin a large European randomized trial of prostate cancer screening, accordingto a study in the Oct. 1 issue of the Journal of the National CancerInstitute (2003; 95:1462-6).

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Los Angeles-After a follow-up of almost 2 years, 70% of patients withstress urinary incontinence reported no repeat SUI after surgery with syntheticpolypropylene sling material, according to UCLA researchers.

Montreal, Quebec-The interval between transurethral resection of bladdertumor and radical cystectomy significantly influences 3-year disease recurrencerates in patients with transitional cell carcinoma of the bladder, saidresearchers from McGill University in Montreal.

Chicago-Neoadjuvant platinum-based chemotherapy is associatedwith a statistically significant improvement in the overall survival ofpatients with locally advanced bladder cancer, according to the resultsof a recent meta-analysis presented at the AUA annual meeting here. However,the treatment benefit is not strong enough to support a recommendation forusing neoadjuvant chemotherapy in this setting, said Amir Sherif, MD, PhD,speaking on behalf of the Nordic Cooperative Bladder Cancer Group.

Albuquerque, NM-A new outcome model of prostate cancer progression followingradical prostatectomy has demonstrated good correlation between the model'spredictions and actual patient data. A study using this model suggests thatmen benefit more from radical prostatectomy over watchful waiting, evenif residual disease remains after surgery.

New Products & Services

Once-daily quinolone gains new urology indications: West Haven, CT-Bayer Pharmaceuticals has received FDA approval to market its once-daily, extended-release fluoroquinolone, ciprofloxacin (Cipro XR), for two new indications: complicated urinary tract infections and acute uncomplicated pyelonephritis.

Among urologic tumor markers, the discovery and application of prostate-specific antigen has established PSA as a vital tool for the early diagnosis, staging, and monitoring of men with prostate cancer.